Provider Demographics
NPI:1710203005
Name:SHEN, HUAQIONG (MD, PHD)
Entity Type:Individual
Prefix:
First Name:HUAQIONG
Middle Name:
Last Name:SHEN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:HUAQIONG
Other - Last Name:SHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:500 ARCOLA RAOD, BUILDING A-4163
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426
Mailing Address - Country:US
Mailing Address - Phone:484-865-2863
Mailing Address - Fax:484-865-0061
Practice Address - Street 1:500 ARCOLA RAOD, BUILDING A-4163
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426
Practice Address - Country:US
Practice Address - Phone:484-865-2863
Practice Address - Fax:484-865-0061
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4285502084N0400X, 2084P0800X, 208U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology